In addition, this committee is a Lobbyist/Registrant PAC. (f) This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee. (i.e., nonconnected committee) In addition, this committee is a Lobbyist/Registrant PAC. In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.) Joint Fundraising Representative: (g) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, at least one of which is an authorized committee of a federal candidate. This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, none of which is an authorized committee of a federal candidate. Committees Participating in Joint Fundraiser 1. 2. 3. 4. FEC ID number FEC ID number FEC ID number FEC ID number

Identify by name, address, (phone number -- optional), and position of the person in possession of Committee books and records.
Custodian of Records: Full Name Mailing Address

Robert B. Ross 818 SW Third Ave. #1182

Portland
Title or Position

OR

97204 _

.
Treasurer

CITY

.

STATE Telephone number

.
503

_

228

ZIP CODE _

.
4598

8.

Treasurer: List the name and address (phone number -- optional) of the treasurer of the committee; and the name and address of any designated agent (e.g., assistant treasurer). Full Name of Treasurer Mailing Address

Robert B. Ross 818 SW Third Ave. #1182

Portland
Title or Position

OR

97204 _

.
Treasurer

CITY

.

STATE

.
503
_

ZIP CODE

.
4598

Telephone number

228

_

Image# 11930410453

FEC Form 1 (Revised 02/2009) Full Name of Designated Agent

Page 4

Mailing Address

_ Title or Position

.

CITY

.

STATE

.
_

ZIP CODE

.

Telephone number

_

9.

Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents safety deposit boxes or maintains funds. Name of Bank, Depository, etc.